Provider Information for 1689685570
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CINDY JOHNSON LPC
Sex: Female
NPI: 1689685570
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
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NPI | 1689685570 | ||||||||
Enumeration Date | 2006-08-10 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | PO BOX 1108 TEMPLE, TX 76503-1108 United States Phone: 254-773-4022 | Fax:254-773-0919 | ||||||||
Primary Practice Address | 3010 SCOTT BLVD STE 103 TEMPLE, TX 76504-6803 United States Phone: 254-773-4022 | Fax:254-773-0919 | ||||||||
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